Quality Monitoring Program

The Health and Human Services Commission (HHSC) Quality Monitoring Program (QMP) helps detect conditions in Texas nursing facilities that could be detrimental to the health, safety and welfare of residents. It is not a regulatory program and quality monitors do not cite deficient practices.

Rather, monitors focus on nursing facilities that have a history of resident care deficiencies, or that have been identified as having a higher-than-average risk of being cited for significant deficiencies in future surveys conducted by the HHSC Regulatory Services.

During these visits, the quality monitors — nurses, pharmacists and dietitians — may:

  • Recommend changes to policies or procedures
  • Conduct staff or in-service training
  • Offer technical assistance
  • Educate staff about evidence-based best practices

Save the Date! 2023 Quality in Long-Term Care Conference

Aug. 22-23, 2023
Renaissance Austin Hotel

Join us for a free two-day event that will integrate research, evidence-based best practices, and applied solutions for improving the quality of long-term care services in Texas. More information will be available in Spring 2023.

Featured Best Practice: Appropriate Use of Antipsychotic Medications

According to the Centers for Medicare and Medicaid Services, Texas nursing facilities prescribe antipsychotic medications too often to residents who exhibit behaviors that are seen as "negative." This overuse can lead to a host of problems for residents, including death.

One way in which HHSC is hoping to reverse this trend is through the Music and Memory Program, which launched in May 2015. The goal of the program is to help residents reconnect with the world through specific, music-triggered memories. Family members and nursing home staff will create personal playlists for use on digital music players, such as iPods.

QMP staff can also provide facility-based dementia care training. Options available include:

  • Alzheimer's Disease and Dementia Care Training
    This eight-hour course uses a curriculum developed by the National Council of Certified Dementia Practitioners (NCCDP). It will help the nursing facility’s front-line staff and other health care professionals provide appropriate, competent and sensitive direct care and support to people with dementia.
  • Virtual Dementia Tour (VDT)
    The VDT allows staff members to step into the shoes of people with dementia. Using props and other items, staff are asked to complete a number of tasks in conditions that mimic the effects of Alzheimer’s disease or other dementias.
  • Person-Centered Thinking Training (PCT)
    The PCT is an interactive two-day training, designed to provide nursing facility staff with the skills necessary to help the people they care for maintain positive control over their lives. Participants will be introduced to the core concept of Person-Centered Thinking Training: finding a balance between what’s “important to” and “important for” the people they serve.

If you are interested in scheduling any of these trainings for your nursing facility, email your request to QMP@hhs.texas.gov.

View All Best Practices

The Center for Excellence in Long-Term Care

The Center for Excellence in Long-Term Care is a web-based educational platform hosted by The University of Texas at Austin School of Nursing. It delivers best practices to nurses and other professionals who work with older adults and people with disabilities. Content is available for nurses at all levels of licensure, as well as administrators, nurse aides and physicians.

Learn more about the Center for Excellence in Long-Term Care (PDF) and visit the Center’s website at http://www.utlongtermcarenurse.com/. Registration is free.


Questions or Concerns?

Learn More about Related Topics


The Texas Minimum Data Set collects standardized demographic and clinical information that describes the overall condition of nursing home residents.

Long-Term Care Search

The Long-Term Care Search lets users find information about nursing homes and other long-term care providers, including survey and complaint results.


Nursing Home Culture Change promotes and supports nursing home providers as they transform from a traditional system-directed culture to one that is person-centered.


A Preadmission Screening and Resident Review is performed for all people seeking admission to a Medicaid-certified nursing facility.